KERRI LYN HAZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006206

License Status

NOT RENEWED

Business

First Name

KERRI

Middle

LYN

Last Name

HAZA

Business Name

KERRI LYN HAZA

Original Issue Date

06/15/2001

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

SCRANTON

State

Zip

18508

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/11/2005